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Transcutaneous Vibro-Acoustic Therapy in Parkinson Disease

Primary Purpose

Parkinson Disease

Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Transcutaneous vibro-acoustic device
Sponsored by
University of Michigan
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Parkinson Disease focused on measuring transcutaneous vibro-acoustic therapy, anxiety

Eligibility Criteria

40 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Diagnosed with Parkinson's Disease (Hoehn and Yahr stage 2 or higher) Individuals on or off dopaminergic therapy Present of anxiety or panic disorder Fear of falling Understanding of use and care of smart phones and devices Exclusion Criteria: Presence of significant dementia Disorders which may resemble PD, such as dementia with Lewy bodies, vascular dementia, normal pressure hydrocephalus, multiple system atrophy, corticobasal ganglionic degeneration, or toxic causes of parkinsonism. Patients with a cardiac pacemaker History of brain surgery or placement of a deep brain stimulator Psoriasis vulgaris (or other inflammatory skin condition) on or near skin where the vibro-acoustic device and sleep tracking ring will be donned. Patients on beta-blockers, benzodiazepines, antipsychotics, and stimulants (except for the treatment of attention deficit disorder/ADHD). Pregnancy Patients who begin cognitive behavioral therapy or a selective serotonin reuptake inhibitor (SSRI) medication for an anxiety disorder or other psychiatric disorder after the baseline clinical assessment.

Sites / Locations

  • Domino's FarmsRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Parkinson's Disease

Arm Description

Participants will use the vibro-acoustic device 90-120 days for 6 hours at night on the Apollo Neuro setting "Sleep and Renew".

Outcomes

Primary Outcome Measures

Average Nighttime Heart Rate Variability
Average heart rate variability during the night, as measured by Oura ring device (measured in s).
Paced Auditory Serial Addition Test score
A measure of cognitive function that assesses auditory information processing speed and flexibility, scored as the total number correct out of 60. Higher scores indicate better performance.
Spielberger State-Trait Anxiety Inventory score
40-item questionnaire to assess anxiety. Scores range from 40-160 with higher scores indicating greater severity of anxiety.
Hamilton Anxiety Scale score
14-item questionnaire to evaluate severity of anxiety symptoms. Scores range from 0-56, with higher scores indicating greater severity of anxiety.
Hamilton Depression Scale score
17-item questionnaire to assess the severity of depression symptoms. Scores range from 0-61, with higher scores indicating more severe depression.
Beck Depression Inventory score
21-item scale to evaluate the severity of depression symptoms. Scores range from 0-63, with higher scores indicating more severe depression.
Beck Anxiety Inventory score
21-item questionnaire to assess the severity of anxiety. Scores range from 0-63, with higher scores indicating greater anxiety.
Geriatric Depression Scale score
15-item questionnaire scored from 0-15, with greater scores indicating greater severity of depression.
Short Activities-specific Balance Confidence Scale score
16-item scale to assess confidence in balance while performing different tasks. Scores range from 0-100 with greater scores indicating greater confidence.
New Freezing of Gait Questionnaire score
9-item questionnaire evaluating the severity of freezing of gait. Scores range from 0-29, with higher scores indicating more severe freezing of gait.
Instrumental Activities of Daily Living Scale score
8-item questionnaire to assess functional independence. Scores range from 0-8, with higher scores indicating higher functioning.
Insomnia Severity Index score
7-item scale to assess severity of insomnia. Scores range from 0-28, with higher scores indicating greater severity of insomnia.
Epworth Sleepiness Scale score
8-item scale to assess daytime sleepiness. Scores range from 0-24, with higher scores indicating greater daytime sleepiness.
Fatigue severity Scale score
9-item scale to measure the severity of fatigue. Scores range from 9-63, with higher scores indicating greater severity of fatigue.
Perceived Stress Scale score
10-item questionnaire to evaluate perceived levels of stress. Scores range from 0-40, with greater scores indicating greater perceived stress.
Short Fall Efficacy Scale International score
7-item questionnaire to evaluate fear of falling. Scores range from 7-28 with greater scores indicating greater fear of falling.
Fatigue Visual Analogue Scale score (Alternate form)
Scored from 0-100, with higher score indicating greater fatigue.
Mayo Sleep Questionnaire Score on item 8
Item 8 on the Mayo Sleep Questionnaire asks the participant to rate their general level of alertness over the past 3 weeks on a scale from 0 to 10, with 0 indicating they sleep all day and 10 indicating they are fully and normally awake.

Secondary Outcome Measures

Full Information

First Posted
June 29, 2023
Last Updated
August 10, 2023
Sponsor
University of Michigan
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1. Study Identification

Unique Protocol Identification Number
NCT05962476
Brief Title
Transcutaneous Vibro-Acoustic Therapy in Parkinson Disease
Official Title
Transcutaneous Vibro-Acoustic Therapy in Parkinson Disease
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
August 9, 2023 (Actual)
Primary Completion Date
July 2025 (Anticipated)
Study Completion Date
July 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Michigan

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Small exploratory pilot study to assess effects of a transcutaneous vibro-acoustic therapy device (Apollo Neuro) in people with Parkinson's disease (PD).
Detailed Description
The overarching goal of this study is to investigate changes in anxiety, nighttime heart rate variability, and fear of falling in people with PD before and after 3-months usage of a transcutaneous vibro-acoustic therapy device. Positive findings in this small exploratory pilot trial may support future studies of transcutaneous vibro-acoustic therapy for individuals with PD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Parkinson Disease
Keywords
transcutaneous vibro-acoustic therapy, anxiety

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Parkinson's Disease
Arm Type
Experimental
Arm Description
Participants will use the vibro-acoustic device 90-120 days for 6 hours at night on the Apollo Neuro setting "Sleep and Renew".
Intervention Type
Device
Intervention Name(s)
Transcutaneous vibro-acoustic device
Other Intervention Name(s)
Apollo Neuro
Intervention Description
Wearable device which sends low-frequency sound vibrations through the skin.
Primary Outcome Measure Information:
Title
Average Nighttime Heart Rate Variability
Description
Average heart rate variability during the night, as measured by Oura ring device (measured in s).
Time Frame
after 90-120 days of intervention
Title
Paced Auditory Serial Addition Test score
Description
A measure of cognitive function that assesses auditory information processing speed and flexibility, scored as the total number correct out of 60. Higher scores indicate better performance.
Time Frame
after 90-120 days of intervention
Title
Spielberger State-Trait Anxiety Inventory score
Description
40-item questionnaire to assess anxiety. Scores range from 40-160 with higher scores indicating greater severity of anxiety.
Time Frame
after 90-120 days of intervention
Title
Hamilton Anxiety Scale score
Description
14-item questionnaire to evaluate severity of anxiety symptoms. Scores range from 0-56, with higher scores indicating greater severity of anxiety.
Time Frame
after 90-120 days of intervention
Title
Hamilton Depression Scale score
Description
17-item questionnaire to assess the severity of depression symptoms. Scores range from 0-61, with higher scores indicating more severe depression.
Time Frame
after 90-120 days of intervention
Title
Beck Depression Inventory score
Description
21-item scale to evaluate the severity of depression symptoms. Scores range from 0-63, with higher scores indicating more severe depression.
Time Frame
after 90-120 days of intervention
Title
Beck Anxiety Inventory score
Description
21-item questionnaire to assess the severity of anxiety. Scores range from 0-63, with higher scores indicating greater anxiety.
Time Frame
after 90-120 days of intervention
Title
Geriatric Depression Scale score
Description
15-item questionnaire scored from 0-15, with greater scores indicating greater severity of depression.
Time Frame
after 90-120 days of intervention
Title
Short Activities-specific Balance Confidence Scale score
Description
16-item scale to assess confidence in balance while performing different tasks. Scores range from 0-100 with greater scores indicating greater confidence.
Time Frame
after 90-120 days of intervention
Title
New Freezing of Gait Questionnaire score
Description
9-item questionnaire evaluating the severity of freezing of gait. Scores range from 0-29, with higher scores indicating more severe freezing of gait.
Time Frame
after 90-120 days of intervention
Title
Instrumental Activities of Daily Living Scale score
Description
8-item questionnaire to assess functional independence. Scores range from 0-8, with higher scores indicating higher functioning.
Time Frame
after 90-120 days of intervention
Title
Insomnia Severity Index score
Description
7-item scale to assess severity of insomnia. Scores range from 0-28, with higher scores indicating greater severity of insomnia.
Time Frame
after 90-120 days of intervention
Title
Epworth Sleepiness Scale score
Description
8-item scale to assess daytime sleepiness. Scores range from 0-24, with higher scores indicating greater daytime sleepiness.
Time Frame
after 90-120 days of intervention
Title
Fatigue severity Scale score
Description
9-item scale to measure the severity of fatigue. Scores range from 9-63, with higher scores indicating greater severity of fatigue.
Time Frame
after 90-120 days of intervention
Title
Perceived Stress Scale score
Description
10-item questionnaire to evaluate perceived levels of stress. Scores range from 0-40, with greater scores indicating greater perceived stress.
Time Frame
after 90-120 days of intervention
Title
Short Fall Efficacy Scale International score
Description
7-item questionnaire to evaluate fear of falling. Scores range from 7-28 with greater scores indicating greater fear of falling.
Time Frame
after 90-120 days of intervention
Title
Fatigue Visual Analogue Scale score (Alternate form)
Description
Scored from 0-100, with higher score indicating greater fatigue.
Time Frame
after 90-120 days of intervention
Title
Mayo Sleep Questionnaire Score on item 8
Description
Item 8 on the Mayo Sleep Questionnaire asks the participant to rate their general level of alertness over the past 3 weeks on a scale from 0 to 10, with 0 indicating they sleep all day and 10 indicating they are fully and normally awake.
Time Frame
after 90-120 days of intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
40 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosed with Parkinson's Disease (Hoehn and Yahr stage 2 or higher) Individuals on or off dopaminergic therapy Present of anxiety or panic disorder Fear of falling Understanding of use and care of smart phones and devices Exclusion Criteria: Presence of significant dementia Disorders which may resemble PD, such as dementia with Lewy bodies, vascular dementia, normal pressure hydrocephalus, multiple system atrophy, corticobasal ganglionic degeneration, or toxic causes of parkinsonism. Patients with a cardiac pacemaker History of brain surgery or placement of a deep brain stimulator Psoriasis vulgaris (or other inflammatory skin condition) on or near skin where the vibro-acoustic device and sleep tracking ring will be donned. Patients on beta-blockers, benzodiazepines, antipsychotics, and stimulants (except for the treatment of attention deficit disorder/ADHD). Pregnancy Patients who begin cognitive behavioral therapy or a selective serotonin reuptake inhibitor (SSRI) medication for an anxiety disorder or other psychiatric disorder after the baseline clinical assessment.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jacqueline Caswell
Phone
734-936-0630
Email
jcaswel@med.umich.edu
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Prabesh Kanel, PhD
Organizational Affiliation
University of Michigan
Official's Role
Principal Investigator
Facility Information:
Facility Name
Domino's Farms
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48105
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Prabesh Kanel, PhD
Phone
734-998-8422
Email
prabeshk@med.umich.edu

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Transcutaneous Vibro-Acoustic Therapy in Parkinson Disease

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